# SAINT JOHNS HOME FOR BOYS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396806881
- **Authorized official:** MR. DARVING C IRIZARRY LMSW (DIRECTOR OF SPECIAL SERVICES & OPER)
- **Authorized official phone:** (718) 945-2800

## Contact information

- **Practice address:** 150 BEACH 110TH STREET, ROCKAWAY PARK, NY 11694
- **Practice address phone:** (718) 945-2800
- **Practice address fax:** (718) 945-4662
- **Mailing address:** 150 BEACH 110TH STREET, ROCKAWAY PARK, NY 11694
- **Mailing address phone:** (718) 945-2800
- **Mailing address fax:** (718) 945-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NY | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 11/21/2016